Healthcare Provider Details

I. General information

NPI: 1659426005
Provider Name (Legal Business Name): SAGE FEMME BIRTH CENTER OF KANSAS CITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 N 31ST ST
KANSAS CITY KS
66102-3964
US

IV. Provider business mailing address

721 N 31ST ST
KANSAS CITY KS
66102-3964
US

V. Phone/Fax

Practice location:
  • Phone: 913-281-6457
  • Fax: 913-281-6474
Mailing address:
  • Phone: 913-281-6457
  • Fax: 913-281-6474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number0056403004
License Number StateKS

VIII. Authorized Official

Name: MRS. CATHERINE GORDON
Title or Position: CEO
Credential:
Phone: 913-371-9966